Testing an Educational Program to Improve Goals of Care Conversations Between Patients and Their Care Teams
NCT07278739 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1020
Last updated 2026-04-16
Summary
This clinical trial evaluates an educational program called Algorithm-Enabled Patients Activated in Cancer Care Through Teams (A-PACT) for reducing unplanned hospital visits and improving goals of care conversations with providers among patients with solid cancers. A-PACT is an educational program where lay health workers (educators) help patients talk with their health care team about issues that matter most to them (goals of care). During A-PACT sessions, patients receive assistance in formulating health care and end of life care preferences, assistance in completing advance directives, guidance on how to engage in these conversations with family members, friends, and clinical teams, and encouragement to discuss these topics with their clinical team. A-PACT may reduce unplanned hospital visits and improve goals of care communication with providers among patients with solid cancers.
Conditions
- Malignant Solid Neoplasm
Interventions
- OTHER
-
Best Practice
Receive usual care
- OTHER
-
Educational Intervention
Receive A-PACT education
- OTHER
-
Electronic Health Record Review
Ancillary studies
- OTHER
-
Interview
Ancillary studies
- OTHER
-
Questionnaire Administration
Ancillary studies
- BEHAVIORAL
-
Telephone-Based Intervention
Receive A-PACT phone calls
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
SWOG Cancer Research Network
lead NETWORK
Principal Investigators
-
Ravi B Parikh · SWOG Cancer Research Network
-
Manali Patel, MPH MS FASCO · Stanford School of Medicine
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2026-05-03
- Primary Completion
- 2032-01-01
- Completion
- 2032-07-21
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